1010 SE EVERETT MALL WAY AEROTEK 2019-09-05

, ,4PP LLECTRICAL PERMIT APPLLATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwagov I s.wwv.everettwa.govipermIts PROJECT SITE INFORMATION PROJECT ADDRESS: 1010 SE Everett Mall Way BUILDING AREA: sq ft PROJECT TYPE: 0 NEW CONSTRUCTION El ADDITION 0 TENANT IMPROVMENT 111 REMODEL BUILDING USE: SFR 0 TOWNHOUSE DUPLEX 0 ADU 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 47,150.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Electrical rewiring THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? LI NO 0 YES-Select Scope:LI Service El Feeder 0 Circuits-#: 0 Complete Re-wire LOW VOLTAGE WORK? 0 NO El YES-/f of Devices: SELECT SCOPE(REQUIRED):El Data 0 Intercom LI Thermostat El Audio LI Secure Access El Security System 0 Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. 12]Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO 0 YES—See Below&Pg.2 By checking this box.I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 of this application(see next page),AND Plan Review Is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ONO OYES-See Below&Pg.3 n Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Everett Mall Office Building LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: "„Er 1010 SE Everett Mall Way Everett STATE WA ,98208 C ITY OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: West Coast Electrical Services CONTRACTOR ADDRESS: „BEE-02527 Mukilteo Speedway Suite 103 ciry Lynnwood STATE WA 2 98087 CONTRACTOR PHONE:425-322-3189 CONTRACTOR EMAIL:kyle@wcelectrics.corn CONTRACTOR LtC.#(REQUIRED):WESTCCE897PQ CITY OF EVERETT BUSINESS UC.#(REQUIRED):053544 PRIMARY CONTACT: DOWNER OCONTRACTOR DOTHER(Please Specify)_ CONTACT NAME: CONTACT PHONE:425-322-3159 Kyle Adams CONTACT EMAIL:kyle@wcelectrics.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Alt provisions of laws and ordinances governing this type of work will be completed whether specified herein or not The granting ole permit does not presume to gore authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I em authorized by the owner of this property to perform the work for which application is made and I comply with the Stale Contractors Lew 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: EVokoLk - OROwner/Authorized Agent Signature liGa e (Revised 1/11/2019) Paget-Application